A nurse in a provider's office is caring for a client who reports pruritus and reddened, oozing lesions on her lower leg. The nurse should suspect which of the following disorders?
Contact dermatitis
Tinea pedis
Pediculosis
Alopecia
The Correct Answer is A
Choice A rationale: Pruritus (itching) and reddened, oozing lesions are common symptoms of contact dermatitis, which can result from exposure to irritants or allergens.
Choice B rationale: Tinea pedis, or athlete's foot, typically presents with scaling, redness, and itching between the toes.
Choice C rationale: Pediculosis refers to infestation with lice, which may cause itching and small, red papules, but it usually does not involve oozing lesions.
Choice D rationale: Alopecia refers to hair loss and is not typically associated with pruritus and oozing lesions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Herpes zoster itself is not easily spread, but the varicella-zoster virus can be transmitted to individuals who have not had chickenpox or the varicella vaccine.
Choice B rationale: While the virus can be spread through contact with the fluid from shingles blisters, it can also be spread by respiratory droplets from the infected person.
Choice C rationale: Postherpetic neuralgia is a common complication of herpes zoster (shingles), and it involves persistent pain in the affected area even after the lesions have healed.
Choice D rationale: This statement is accurate, but it does not address the persistent pain (postherpetic neuralgia) that can occur after the lesions resolve.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale: Hyperlipidemia, particularly elevated cholesterol levels, can be associated with impaired wound healing. High cholesterol levels can contribute to atherosclerosis, leading to reduced blood flow to the wound site. Adequate blood supply is crucial for delivering oxygen and nutrients essential for the healing process.
Choice B rationale: Diabetes mellitus is a well-known risk factor for delayed wound healing. High blood sugar levels can impair the function of white blood cells, reduce collagen formation, and impair the overall healing process. Furthermore, individuals with diabetes are more prone to infections and may experience slower wound closure.
Choice C rationale: Medication history alone does not provide specific information about factors that directly affect wound healing. However, certain medications, such as corticosteroids or immunosuppressive drugs, may impact the healing process.
Choice D rationale: High cholesterol levels can contribute to atherosclerosis, leading to reduced blood flow to the wound site. Adequate blood supply is crucial for delivering oxygen and nutrients essential for the healing process.
Choice E rationale: Prealbumin is a marker of protein status and nutritional adequacy. Low prealbumin levels can indicate malnutrition, which is a risk factor for delayed wound healing. Adequate protein intake is crucial for collagen synthesis and overall tissue repair.
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